无痛胃镜检查的临床应用效果

Painless Gastroscopy Clinical Effect

目的:观察无痛胃镜检查的临床应用效果。方法:随机抽取340例需行胃镜检查的患者,以自愿为原则,分为胃镜组(对照组)160例与无痛胃镜组(观察组)180例。对照组检查前分两次口服2%利多卡因胶浆0.2,起局部麻醉和祛泡作用;观察组检查前口服2%利多卡因胶浆0.2,起祛泡作用,静脉注射丙泊酚1.5～2.5mg/kg,20～50mg/min,以少量、缓慢为原则,比较两组检查效果。结果:观察组均顺利完成检查,术后无明显不适,无严重不良反应;对照组恶心、呕吐等不良反应率较高,两组比较差异有统计学意义。结论:无痛胃镜检查是一种安全、舒适、有效的检查方法,可减轻患者痛苦,消除其恐惧心里,具有较强的临床实用价值。

Objective： Painless gastroscopy observedclinical effect. Methods： Random sample of 340 cases of patients who need endoscopy, the principle of voluntary, divided into endoscopy group （control group） 160 cases and painless gastroscopy group （observation group） 180 patients. Control group before the two oral examination of 2% lidocaine mortar 0.2, and the cured foam from the local anesthetic effect; observation group before the oral examination of 2% lidocaine mortar 0.2, remove foam from the role of intravenous propofol 1.5 - 2.5mg/kg, 20 - 50mg/min, to small, slow as the principle , compared two groups of inspection results. Results： The observation groupwere successfully completedexamination, patients withoutobviousdiscomfort,no serious adverse reactions;the control group, nausea,vomiting and otheradverse reactionsis higher, the difference wasstatistically significant Conclusion： Painlessendoseopyis a safe, comfortable, effective method, reduce patientpain, eliminate thefear ofia3y heart, with a strongclinical value.